These photos are better and I was able to zoom in on them. There is no significant miniaturization present. You have what appears to be a lower than average donor density, not miniaturization. To have DUPA (Diffuse Unpatterned Alopecia) there must be significantly more than 20% of the hairs that are miniaturized, which is not […]
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I wrote the original article on Diffuse Unpatterned Alopecia (DUPA) and yes, a hair transplant should never be done if you have this condition. However, too many young men assume that they have DUPA, and that is wrong. Get the diagnosis confirmed by an expert like me with microscopic examination of the donor area and […]
I was really worried about it, so went to quite a famous derm, who told me I had no miniaturization(using the proper equipment, I assume, not just by eye like another derm did). Cut to now, my scalp is beginning to show even more, and the itching continues. Should I hop on fin + min? […]
There are two pictures, one of the back of the head and the other magnified. The magnified picture shows an arrow pointing out the only normal non-miniaturized hair in this man’s donor area. If this man was to be transplanted (a dishonest or incompetent doctor might do this) they would make him balder and scarred […]
The only way to determine DUPA is with a video microscope showing the details of the donor area. I always insist that the area I look at is cut short (a couple of mm long) so that I can count the miniaturized hairs. A count in excess of 20% of miniaturized hairs reflects DUPA as […]
Nobody knows if there is a connection between Diffuse Unpatterened Alopecia (DUPA) and the action of DHT on the hair receptors. but I doubt that it fits the classic model for male pattern genetic loss; nevertheless, because finasteride is the only drug that we can use to block DHT and we know that sometimes it […]
i’d really appreciate if you could have a glance at these pictures taken with a microscope to confirm whether i have dupa hair loss/miniaturization. pardon the oily hair and hair fragments (recent haircut) :) There are 9 slightly miniaturized hairs (arrows point to them) out of a total 50 hair count. This is not DUPA […]
I’m 18 and I’ve had diffuse thinning for the past 3 years. Yes it sucks but it’s slow and still have decent amount of hair. I’ve noticed for the past 3 years that when ever I get a hair cut, my hair is easy to pull out. Same with sides and my back. Is this […]
No, Diffuse Unpatterned Alopecia (DUPA) is a condition that covers the entire scalp including the donor area (back and sides of the head). Because it is diffuse, the use of donor hair that is impacted for hair transplants causes the surgery to be very disappointing, if not a relative failure. For this reason, it must […]
Well, this is not an uncommon question for many people who wake up one day and look in the mirror and see what they never noticed before. Usually, it is never this bad, of course (please excuse the patient but I got him up too early to do up his hair). Hair loss in Monkeys […]
I was wondering if someone who started with DUPA can later on develop male pattern baldness in there life? i have a second question if i may? In those DUPA patients who react to finasteride, was their progression moving faster than who did not react to finasteride? We really don’t understand DUPA but yes, I have […]
I had one small spot of alopecia areata on the back of my head 3 years ago at 32 years old, it resolved with a steroid shot. I do have it on my face and it resolves periodically without treatment. Right now I have DPA but almost my hair is intact, just generally thin throughout […]
Yes. Many people with DUPA present with hairline recession or crown loss often with a typical Norwood Pattern of hair loss.
I took these photos of my donor area. I can see though my donor area which worries me about having DUPA Diffuse Unpatterned Alopecia (DUPA) is determined when the hair in the field of view substantially exceeds 20% miniaturization. I generally like to cut the hairs in the view so that it is easier to count. One […]
I am the doctor who define DUPA (Diffuse Unpatterned Alopecia) in men. It is real and tragic when it happens. About half of the men respond to the drug finasteride, while others don’t respond to any medication and hair transplants are always contraindicated. Here is the article I wrote defining it: https://baldingblog.com/wp-content/uploads/pdf/mp-1997-evaluation.pdf The diagnosis is […]
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